Abstract:
OBJECTIVE:To analyse the occurrence of hardware-related complications in patients with deep brain stimulation (DBS), over a long period of time. METHOD:All patients operated on with DBS at our institution between 1993 and 2002 were followed with respect to adverse events related to the implanted hardware. RESULTS:One hundred and nineteen consecutive patients underwent 139 procedures with implantation of 161 electrodes. The minimum follow-up was 12 months. The follow-up time was 540 electrode-years. The rate of hardware-related complications per electrode-year was 4.3%. In total, 17 patients (15%) had 23 hardware-related complications. These included 8 electrode breakages, 4 electrode migrations, 2 stimulator migrations, 3 erosions, 2 erosions and infections, 2 infections and 2 cases of stimulator malfunction. The majority of these complications occurred during the first four years in our experience. CONCLUSIONS:DBS is a life-long therapy that requires a life-long follow-up. Increased experience and adaptation of surgical technique are the main determinants for avoidance of hardware-related complications.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Blomstedt P,Hariz MIdoi
10.1007/s00701-005-0576-5subject
Has Abstractpub_date
2005-10-01 00:00:00pages
1061-4; discussion 1064issue
10eissn
0001-6268issn
0942-0940journal_volume
147pub_type
杂志文章abstract:BACKGROUND:In terms of response to fractionated radiotherapy, metastatic brain tumors of certain origins are considered radioresistant. OBJECTIVE:To determine the influence of "radioresistant" histology on outcomes of brain metastases treated with radiosurgery. METHODS:Between 2001 and 2017, 121 patients with brain m...
journal_title:Acta neurochirurgica
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doi:10.1007/s00701-018-3726-2
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abstract::Venous malformations in the posterior fossa are relatively rare. Although the introduction of CT and MRI has made them easier to detect, their treatment is still controversial. Based on our experience with six patients and a review of the literature, we have tried to establish guidelines for their treatment. Since the...
journal_title:Acta neurochirurgica
pub_type: 杂志文章
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abstract::Behçet's disease is an unusual medical condition in central Europe and North America, however more common in Turkey and Japan. It was originally described in Turkey, characterized by recurrent oral ulcers, genital ulcers and also uveitis. A variety of vascular lesions such as venous occlusions, arterial aneurysms and ...
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abstract::The introduction of the trans-sphenoidal approach has not only made intrasellar tumours removable, but has proved also to be a safe method for ablation of suprasellar tumour extension. Experiences with 154 suprasellar pituitary adenomas in a series of 278 trans-sphenoidal operations are presented. Results are compared...
journal_title:Acta neurochirurgica
pub_type: 杂志文章
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journal_title:Acta neurochirurgica
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journal_title:Acta neurochirurgica
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journal_title:Acta neurochirurgica
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journal_title:Acta neurochirurgica
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doi:10.1007/s00701-003-0133-z
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journal_title:Acta neurochirurgica
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abstract::Modern neuro-imaging techniques have significantly increased the accuracy of stereotactic procedures and have thereby generated a renewed interest in guided brain surgery. This paper describes the neuroradiological aspects of stereotaxic target calculation (x-, y-, z- coordinates) using the Riechert-Mundinger (Fisher)...
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pub_type: 杂志文章
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journal_title:Acta neurochirurgica
pub_type: 杂志文章
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更新日期:2011-10-01 00:00:00
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更新日期:1982-01-01 00:00:00